Proposal for
Government Agencies Grant - Small Grants Program
Annex 1: Proposal submission format
I. COVER PAGE- (1 page)
1. Theme of the proposal1:
2. Title of Project:
3. Activity location:
4. Name and address of organization (including postal, telephone and email):
5. Name, title and contact information (phone/email) of Project Coordinator:
6. Name, title and contact information (phone/email) of Finance Personnel:
7. Activity duration (start and end date and time in months):
8. Budget:
a. Total budget;
b. Hariyo Ban support;
c. Organization’s own contribution (cash and kind);
d. Other sources (if any):
II. NARRATIVE SECTION- (This section should not exceed 3 pages excluding budget)
1. BACKGROUND
(comprises of brief background within 400 words)
2. JUSTIFICATION
(comprises the rationale of the activity, past scenario, intervention approach within 200
words)
3. GOAL AND OBJECTIVES
(2-4 specific ones within 100 words)
4. DESCRIPTION OF ACTIVITY
(describe proposed activities and quantify the activities to relate into budget breakdown
and methodology divided into subsections as per need; within 1000 words)
5. SPECIFIC CONTRIBUTION TO HARIYO BAN COMPONENTS AND EXPECTED
PROGRAM OUTCOMES
(Within 250 words specifically relate the contribution of proposed activities to achieving
Hariyo Ban’s targets according to two objectives through its two main components and two
cross-cutting themes).
6. MONITORING, EVALUATION AND LESSON LEARNING
(Within 100 words describe how you will measure and evaluate success/failures; Key points
to cover include indicators and questions to be answered through monitoring).
1 One of the themes as mentioned in the announcement and Annex III.
7. SOCIO-ENVIRONMENTAL IMPACTS (possible negative environmental and social impacts
of the interventions within 100 words).
8. BENEFICIARIES (targeted beneficiaries, specify key ones in numbers as far as possible?
Within 100 words):
9. BUDGET (a detailed activity-wise breakdown):
Annex II: Broad areas under major themes and crosscuttings
1. Biodiversity:
Research and studies on biodiversity conservation
Species conservation (both flora and fauna)
Habitat restoration (wetland, forest, grassland etc)
Watershed management (upstream downstream linkages)
Nursery development and management
Payment for Ecosystem Services (PES)
Combating poaching and wildlife trafficking
Human Wildlife Conflict (HWC) mitigation
Environmental Flow (E-flow)
Invasive species
Medicinal and Aromatic Plants (MAPs)
Forest fire
Institutional capacity building of NRM/community groups
Scientific forest management
Agro-forestry
Agro-biodiversity
2. Livelihood:
Eco-tourism promotion
Enterprise promotion (financial/business literacy and microfinance
support for forest dependent households)
Entrepreneurial development and cooperative strengthening
Block plantation of non-timber forest products (NTFP) and high value
crops
Promotion of agro-forestry models for alterative income and enterprise
establishment
Employment generation through skill based training for forest dependent
youths
Multi-water use system promotion for vegetable farming in climate
vulnerable areas
Alternative livelihoods for extremely marginalized communities
Introduction time saving technologies (to reduce workload/drudgery of
women and marginalized groups)
3. Climate Change Adaptation (CCA):
Research and studies in CCA
Climate change impacts, adaptation and resilience
Vulnerability/hazard assessment/mapping
Climate induced Disaster Risk Reduction (DRR)
Differential vulnerability assessment
Integration of CCA and DRR
Mainstreaming of CCA and DRR in local level planning process of GoN
Integrated river basin management
Integrated sub-watershed Management including upstream – downstream
linkages
Payment for Ecosystem Services (PES)
Linkages between CCA and Biodiversity Conservation
CCA and livelihood
Adaptation at scale
Indigenous knowledge in CCA
Use of climate science (hydro-meteorological data) in adaptation
4. Governance:
Institutional capacity building activities of NRM groups
Internal policies development of NRM groups
Capacity building activities of NRM groups for internal fund mobilization
and resource leverage
Technical trainings for NRM groups on local solution promotion
Promoting stakeholder’s accountability and expand negotiation space
5. GESI
Strengthening anti-Gender Based Violence (GBV) mechanism in forest
management
Men and boy’s engagement
Youth as agents of change
Implementation of GESI policies, standards and practices
Conservation benefit sharing for women, poor and marginalized
Leadership of women poor and marginalized
Engaging indigenous people’s networks to promote local livelihoods of
women and indigenous people
6. Communication:
Media (electronic and print media) engagement in NRM issues
Development of applications for Android and IOS (Apps on conservation
stories, IEC materials)
Development of audio books based on conservation
Develop a feed-back mechanism to analyze the effectiveness and efficiency
of our communication methods and tools
7. Monitoring and Evaluation:
Outcome and impact measurement at different scales; landscape level,
sub-basin, watershed, sub-watershed, corridor level
10. BUDGET (a detailed activity-wise breakdown):
Total
# of Ra
SN Description Unit Amoun
Unit te
t
1 Personnel
Third party eg. Month*Proportio
1.1
consultant/expert n
1.2
1.3
2 Travel
Person*Days*Ti
2.1 Food and accommodation
mes
Person*Days*Ti
2.2 Transportation
mes
Meeting/Workshop/Trai
3
ning
3.1 Tea and Snacks Person
Stationeries and Training
3.2 No
Materials
4 Key Activities
4.1 Activity 1
4.1.
Sub-Activity
1
4.1.
Sub-Activity
2
4.2 Activity 2
4.2.
Sub-activity
1
Sub-activity
5 Other direct costs
5.1
5.2
5.3
5.4
5.5
Total Cost
Note: Please indicate NA if the activities are not applicable. USAID rules and regulations do not allow
any overhead cost.
